Individual provider · Type 1 NPI
Lourdes Medina, TEACHER
Specialist · Bronx, NY
NPI number
1538422266
Active
Practice location
3035 Mickle Ave
Bronx, NY 10469-3213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 1703488 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1538422266
Lourdes Medina, TEACHER's National Provider Identifier is 1538422266, issued on Jun 18, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bronx, NY. The record was last updated on Jun 18, 2012.